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Vermont rates for HCPCS 23155

Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $954.99 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,096.48 / $1,778.28
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,096.48 / $1,318.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,122.02 / $3,235.94